Clinical Epidemiology and Global Health最新文献

{"title":"Early referral in chronic kidney disease―seizing the opportunity","authors":"Bharti Chogtu ,&nbsp;Ravindra Prabhu A ,&nbsp;Vani Lakshmi R ,&nbsp;Rahul Magazine","doi":"10.1016/j.cegh.2024.101711","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101711","url":null,"abstract":"<div><h3>Background</h3><p>Chronic kidney disease (CKD) is characterized by progressive loss of kidney function, which can eventually result in the need for renal replacement therapy (RRT) such as dialysis or transplantation. This study aimed to review the impact of early referral of CKD patients to nephrologist and its impact on disease progression, cost of treatment and disease outcome.</p></div><div><h3>Methods</h3><p>The study was done based on scholarly articles from PubMed using the keywords.</p></div><div><h3>Results</h3><p>Early referral of CKD patients is associated with slower disease progression, improved patient outcomes, and reduced cost of treatment. Late referral can result in unplanned dialysis, with its likely deleterious consequences Other than a few studies that have brought forth contrary results regarding some long-term patient outcomes, most of the literature supports the beneficial effects of timely referral. Robust referral protocols can decrease the referral of low-risk CKD patients, thus lessening the load on nephrology services.</p></div><div><h3>Conclusion</h3><p>To optimize CKD patient referrals, clarity is needed regarding the definition of early referral and, most importantly, primary care physicians need to be made aware of the available tools for referral to nephrology care.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424002070/pdfft?md5=38393cedf9d798ba88bf8fe34b7be3f8&pid=1-s2.0-S2213398424002070-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141582563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vancomycin-resistant enterococci: A rising challenge to global health","authors":"Faiza Iqbal ,&nbsp;Arya Alocious ,&nbsp;Selin C. Joy ,&nbsp;Elstin Anbu Raj Stanly ,&nbsp;V. Rajesh ,&nbsp;M.K. Unnikrishnan ,&nbsp;Douglas Steinke ,&nbsp;Prashant Chandra","doi":"10.1016/j.cegh.2024.101663","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101663","url":null,"abstract":"<div><h3>Introduction</h3><p>Improper antibiotic use triggers outbreaks of hospital-acquired VRE infections. Relevant studies were gathered from Scopus, and PubMed. Over two decades, prevalence of VRE in humans and animals grew from 0.05 % to 99.0 % globally and from 1.0 % to 45.6 % in India. Identifying VRE at the species level helps identify acquired/intrinsic resistance.</p></div><div><h3>Results and conclusion</h3><p>VRE infections, especially bloodstream infections, inflict significant mortality (60-70%-global; 23%-India) and economic burden ($539 million). Linezolid and daptomycin are frequently used without adequate clinical trial evidence. India lacks studies on prevalence, mortality and cost, which needs political will, public-private partnership, and prioritizing public health.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001593/pdfft?md5=cecb00807f60c58ef1c5cbb911ea2288&pid=1-s2.0-S2213398424001593-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141479655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disability and functional status among patients post Covid 19 - A tertiary care hospital based prospective study","authors":"Ebin Thomas ,&nbsp;Nimila Elsa Mathews ,&nbsp;Kalesh M. Karun","doi":"10.1016/j.cegh.2024.101695","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101695","url":null,"abstract":"<div><h3>Background</h3><p>The long-term sequelae of COVID-19 infection, the persistence of disability, its temporal profile, and associated factors remain under-documented in South India.</p></div><div><h3>Objectives</h3><p>To estimate the proportion of disability in survivors of COVID-19 at different time points (first, second, and sixth months) and determine the demographic and clinical variables associated with poor functional status which will aid in developing effective treatment and rehabilitation strategies.</p></div><div><h3>Methods</h3><p>A total of 139 COVID-19 patients were interviewed at discharge from a tertiary care hospital and followed up in the first, second, and sixth months. Persistent symptoms and post-COVID functional status (PCFS) scores were recorded at all these time points. Univariate and Multivariate Poisson regression analysis was used to determine the association of socio-demographic variables and other clinical factors with functional status post-COVID-19.</p></div><div><h3>Results</h3><p>48.92 % of patients had complete recovery. However, a majority (51.08 %) experienced persistent functional limitation - 33.81 % had negligible, 15.83 % mild, 0.72 % moderate, and 0.72 % severe limitation. Common symptoms at six months were breathlessness (23.02 %), fatigue (20.14 %), memory loss (10.07 %), myalgia (8.63 %), and post-traumatic stress disorder (7.91 %). Vaccination emerged as a significant predictor of disability status (p &lt; 0.05). Taking two vaccine doses lowered the risk of disability by 0.48 times.</p></div><div><h3>Conclusion</h3><p>At the six-month follow-up of discharged COVID-19 patients, they continue to exhibit persistent functional limitations and symptoms. Administration of two vaccine doses is recommended to improve functional status at six months. Multidisciplinary clinics, telemedicine, and community-based rehabilitation programs are essential to minimize post-COVID-19 functional disability and facilitate complete recovery.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221339842400191X/pdfft?md5=450e865aca361eca0eb3f324184b6710&pid=1-s2.0-S221339842400191X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141480934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of multidimensionality determinants of eye care adherence among type 2 diabetic patients in Shiraz, Iran","authors":"","doi":"10.1016/j.cegh.2024.101679","DOIUrl":"10.1016/j.cegh.2024.101679","url":null,"abstract":"<div><h3>Aim</h3><p>This study explores the diverse factors influencing the eye care adherence of individuals diagnosed with type 2 diabetes mellitus in Shiraz. The lack of effective strategies in Iran to improve eye care behaviors and reduce retinopathy incidence in diabetes patients necessitates this research. The goal is to assess factors that affect this adherence.</p></div><div><h3>Method</h3><p>A cross-sectional survey was conducted in Shiraz, Iran during 2022–2023. This study's primary data collection tool was an exhaustive questionnaire. This was carefully designed to include various sections, each focusing on different aspects relevant to the study's aim.</p></div><div><h3>Result</h3><p>The study found that being female, married, literate, and overweight resulted in more annual ophthalmology visits. Possessing additional insurance and adhering to diabetic controls and care were positively correlated with ophthalmology visits. Less reliance on family income or loans led to better eye care. The shorter duration of diabetes and proximity to a diabetic care unit were crucial factors for improved eye protection.</p></div><div><h3>Conclusion</h3><p>This study offers insights into the various factors affecting eye care utilization patterns among individuals diagnosed with type 2 diabetes mellitus in Shiraz. The study's findings underscore the significance of demographic factors in influencing individuals' engagement in self-care practices and their access to eye care services. Further research is needed to delve into the cultural and sociodemographic determinants underlying these trends, which will aid in developing treatments that cater to the diverse needs of individuals with diabetes.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001751/pdfft?md5=7d3330fb188cbf3d34d6dd018ec2d9b1&pid=1-s2.0-S2213398424001751-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141960167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adverse effects of COVID-19 vaccines in the Moroccan adults and children during the pandemic","authors":"Samia El Hilali ,&nbsp;Selma Benmlih ,&nbsp;Abbas Ermilo Haroun ,&nbsp;Zhor Zeghari ,&nbsp;Mohamed Khalis ,&nbsp;Majda Frindy ,&nbsp;Sara Messaoud ,&nbsp;Anas Ahmed Mountassir ,&nbsp;Aicha Taleb Abeydi ,&nbsp;Soumia Triki ,&nbsp;Redouane Abouqal ,&nbsp;Rachid Razine ,&nbsp;Majdouline Obtel","doi":"10.1016/j.cegh.2024.101689","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101689","url":null,"abstract":"<div><h3>Objectives</h3><p>During the pandemic of covid-19, Safe and effective vaccines have been urgently needed. Our study aims to investigate the adverse effects of vaccines and their severity factors in people who have been vaccinated in the Rabat region.</p></div><div><h3>Methods</h3><p>This is a multicentric cross-sectional study conducted in the Rabat region of Morocco from February to December 2021. Consenting subjects aged 12 years and older who presented symptoms after a first, second or third dose of covid 19 vaccine and who received one of the following vaccines were included in the study: AstraZeneca-Oxford, Sinopharm, Pfizer-BioNTech. An evaluation form was drawn up. Univariate analysis was performed using the chi-square, Fisher's exact and Mann Whitney tests. Multivariate analysis was performed using logistic regression, and data analysis was performed using Jamovi 2.3.19 and R 4.3.1.</p></div><div><h3>Results</h3><p>We recruited 489 patients with a median age of 52 years [32.3–66.0], 67.2 % were women,52.6%were vaccinated by AstraZeneca,4.8 % by Pfizer, and 42.6 % by Sinopharm, 84 of cases were severe 17.2 %, the majority of side effects were represented by influenza-like illness, fever, dizziness, vagal shock, skin rash, Covid, cardiac, digestive and neurological manifestations.</p><p>In univariate analysis, age and the presence of a previous history were risk factors, and in multivariate analysis only age remained a risk factor for the severity of adverse events.</p></div><div><h3>Conclusion</h3><p>The study identifies common adverse events and underlines the importance of ongoing surveillance and suggests the need for large samples in order to comprehensively assess the effects of vaccines.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001854/pdfft?md5=044ccccc45e4cbf48fc7a3863d41a629&pid=1-s2.0-S2213398424001854-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141444143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiological and clinicopathological characteristics of colorectal cancer patients in tertiary hospital in West Java","authors":"Kiki Lukman ,&nbsp;Arrayyan Muhammad ,&nbsp;Mohammad Ghozali ,&nbsp;Prapanca Nugraha ,&nbsp;Yunia Sribudiani ,&nbsp;Bistamy Muhammad Nursabur","doi":"10.1016/j.cegh.2024.101688","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101688","url":null,"abstract":"<div><h3>Problem considered</h3><p>Colorectal cancer (CRC) is the third most frequently diagnosed type of cancer in Indonesia, accounting for around 8.5% of cancer cases. This study aims to know the epidemiological and clinicopathological characteristics of CRC patients in Tertiary Hospital in West Java.</p></div><div><h3>Methods</h3><p>This study was a cross-sectional study. All the data were obtained from Hasan Sadikin General Hospital CRC Registry from November 2021 until May 2023.</p></div><div><h3>Results</h3><p>208 colorectal cancer patients were analyzed. The average age at diagnosis was 52,9 (52 ± 13.1) with 61% diagnosed over 50. More females (51%) were diagnosed. Smoking history included 37.5% active smokers and 41.8% passive exposure. Nutritionally, 65.8% were normal weight, 30.7% underweight, and 5% overweight. The most common presenting symptoms were constipation (49%) and rectal bleeding (38%). Stage III and IV were diagnosed in 77% of patients. Left-sided colon tumors (85%) were most frequent, with adenocarcinoma not otherwise specified (98%) being the dominant histology. Bowel obstruction (68%) was the most common complication.</p></div><div><h3>Conclusion</h3><p>CRC in Hasan Sadikin General Hospital was frequently diagnosed at a late stage, with a relatively high percentage of patients were below 50 years. Left-sided CRC and histological types of adenocarcinoma not otherwise specified were still the most common pathological features of CRC. Future research is needed to discover the potential multifactorial causes of this phenomenon.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001842/pdfft?md5=d480d7c072db362db4e31bbb79ac0dc4&pid=1-s2.0-S2213398424001842-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141424470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of multiple non-communicable diseases risk factors among self-reported healthy older adults living in community dwelling in India: Evidence from the Longitudinal Ageing Study in India","authors":"Shubhanjali Roy,&nbsp;Vansh Maheshwari,&nbsp;Saurav Basu","doi":"10.1016/j.cegh.2024.101680","DOIUrl":"10.1016/j.cegh.2024.101680","url":null,"abstract":"<div><h3>Introduction</h3><p>Noncommunicable disease (NCDs) risk factor clustering multiplies the risk especially in aging populations. The study objective was to estimate the prevalence and determinants of multiple NCD risk factors amongst older adults in India using the Community-Based Assessment Checklist (CBAC).</p></div><div><h3>Methods</h3><p>A secondary analysis was undertaken using the Longitudinal Ageing Study in India (LASI) data wave-I having 40,510 participants aged ≥ 45 years without a history of diabetes or hypertension. The CBAC recommended by the national program consists of assesses six NCD risk factors: age, tobacco use, alcohol use, waist circumference, physical activity, and family history.</p></div><div><h3>Results</h3><p>The prevalence of individuals at high-risk for NCDs defined as a CBAC score ≥ 4 was 55.2 % (95 % CI: 54.1, 56.29). Male gender, widowhood, obesity, and unemployment were independently associated with higher odds of having a high NCD risk factor status. Geographically, Northeastern and Southern states had higher burden of individuals at high-risk for NCDs. Furthermore, 28.44 % of patients at high-risk for NCDs were also having undiagnosed hypertension detected on screening.</p></div><div><h3>Conclusion</h3><p>More than one in two older adults aged ≥ 45 years in India without an established history of diabetes or hypertension have four or more NCD related risk factors that accentuate their NCD risk.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001763/pdfft?md5=ed1ac01fa434da5d9695c843d2eb32f4&pid=1-s2.0-S2213398424001763-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141404479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of life of children with cerebral palsy: Evidence from Assam, India","authors":"Daisy Saikia ,&nbsp;Manas Ranjan Pradhan","doi":"10.1016/j.cegh.2024.101686","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101686","url":null,"abstract":"<div><h3>Background</h3><p>Cerebral palsy (CP) is a common childhood physical disability, which often leads to secondary conditions and affects the quality of life (QOL) of the children suffering from it. This study measures the QOL of children with CP using Children with Cerebral Palsy Quality of Life Questionnaire (CP-QOL) and the factors affecting it.</p></div><div><h3>Methods</h3><p>This cross-sectional study covering 140 purposively chosen caregivers of children with CP aged 4–12 years was conducted in Assam, India, 2023. Subscale scores of CP-QOL were computed to determine the overall QOL score. Cronbach's α assessed the subscales' reliability and interval consistency. Bivariate analysis was conducted to present the socio-demographic variation in QOL, and logistic regression revealed the determinants. Regression model diagnostics were performed, which included the Omnibus test, the Hosmer–Lemeshow test, a classification table showing the model's sensitivity, specificity, and overall accuracy, and a ROC curve displaying the model's overall accuracy in predicting the outcome variable.</p></div><div><h3>Results</h3><p>The overall QOL score was 44.94 ± 16.28. QOL scores varied significantly with children's age, Gross Motor Function Classification System (GMFCS) levels, special school enrolment, mother's education, family structure, and the behaviour of relatives and neighbours. Nearly three-fourths of the caregivers perceived a poor QOL of their children with CP. Children's CP type, GMFCS level, associated conditions, and religion were significantly associated with their QOL.</p></div><div><h3>Conclusion</h3><p>The QOL of children with CP are significantly lower, the primary factor being the GMFCS level. Efforts to educate caregivers and customized policies and programs will help improve CP children's QOL.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001829/pdfft?md5=a962352f7ce2f6ecfae5a11634c30b1e&pid=1-s2.0-S2213398424001829-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141326042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medication non-adherence among outpatients with myocardial infarction: A hospital-based study","authors":"Anan S. Jarab ,&nbsp;Razan Z. Mansour ,&nbsp;Suhaib Muflih ,&nbsp;Walid Al-Qerem ,&nbsp;Shrouq R. Abu Heshmeh ,&nbsp;Tareq Mukattash ,&nbsp;Yazid N. Al Hamarneh ,&nbsp;Maher Khdour","doi":"10.1016/j.cegh.2024.101682","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101682","url":null,"abstract":"<div><h3>Background</h3><p>Despite the availability of effective medications for the treatment of myocardial infarction (MI), treatment outcomes are suboptimal due to medication non-adherence. The aim of this study was to assess medication adherence and its associated factors among patients with MI.</p></div><div><h3>Methods</h3><p>This cross-sectional study was conducted on outpatients with MI in the cardiology clinic at a major hospital in Jordan. Medication adherence was assessed using the validated Arabic version of the 4-item Medication Adherence Scale. Ordinal regression was conducted to identify the variables associated with medication non-adherence.</p></div><div><h3>Results</h3><p>A total of 333 patients participated in the study. The median age was 58 years (57–60). Medication non-adherence was expressed by 54.6 % of the participants. Having less than college/university education (Coefficient = −0.625, 95%Cl (−1.191 to −0.06), P = 0.03) and increased medication-related concerns (Coefficient = −0.065, 95 % Cl (−0.126 to −0.003), P = 0.04) were associated with decreased medication adherence. Other factors, including having no family history of cardiovascular disease (CVD) (Coefficient = 0.757, 95%Cl (0.218–1.295), P = 0.006) and increased medication necessity (Coefficient = 0.186, 95%Cl (0.133–0.239), P &lt; 0.001) were associated with high medication adherence.</p></div><div><h3>Conclusion</h3><p>The current study demonstrated a high rate of medication non-adherence in MI patients, necessitating the need to develop tailored pharmaceutical care interventions that address patients' medication-related beliefs, focusing on their perceptions of medication necessity and concerns, particularly in patients with low education level and those with a positive family history of CVD.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001787/pdfft?md5=c4922a37d781d20774ca7ec6c815e4b2&pid=1-s2.0-S2213398424001787-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141328796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the prevalence of depression, anxiety, and stress among university students in Bangladesh and their determinants","authors":"Md. Kamruzzaman ,&nbsp;Ahammad Hossain ,&nbsp;Md. Aminul Islam ,&nbsp;Md. Shakil Ahmed ,&nbsp;Enamul Kabir ,&nbsp;Md. Nuruzzaman Khan","doi":"10.1016/j.cegh.2024.101677","DOIUrl":"10.1016/j.cegh.2024.101677","url":null,"abstract":"<div><h3>Background</h3><p>Depression, anxiety and stress among university students present a growing global challenge. This study aims to explore the prevalence of depression, anxiety, and stress and identifying their associated factors among university students in Bangladesh.</p></div><div><h3>Methods</h3><p>We analyzed data of 738 university students collected through a cross-sectional survey. Outcome variables considered were depression, anxiety, and stress levels. Explanatory variables considered were several socio-demographic characteristics. Multinomial logistic regression analysis was employed to explore the association of the outcome variables with explanatory variables.</p></div><div><h3>Results</h3><p>We found a notable prevalence of moderate to severe levels of depression, anxiety, and stress among university students in Bangladesh, ranging from 25 % to 71 %. Among students from extended families, there was a 32 % lower likelihood of experiencing moderate depression (relative risk ratio [RRR], 0.68; 95 % confidence interval [CI], 0.47–0.97) and a 35 % lower likelihood of experiencing stress (RRR, 0.65; 95 % CI, 0.44–0.97) compared to their counterparts without depression and stress. Furthermore, students enrolled in the business faculty reported a significantly higher likelihood of stress, with a 2.28 times greater odds (95 % CI, 1.32–3.93) compared to students in the Science and Engineering faculty.</p></div><div><h3>Conclusion</h3><p>This study underscores the pressing necessity for tailored interventions to address the elevated prevalence of depression, anxiety, and stress among university students in Bangladesh. The findings accentuate the importance of recognizing diverse risk factors and implementing mental health support programs.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001738/pdfft?md5=507a5c68a1fd94ad94450977bfa40e87&pid=1-s2.0-S2213398424001738-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141402897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}